Membership Application | Chariton Valley Electric Cooperative, Inc

Current Start Service
Applicant Information
Spouse / Co-Applicant
Final Steps
Complete

Start Service Information

Applicant certifies that the one box marked is the predominant use of electricity. If energy purchased results in a sales tax liability due to use other than stated, the Applicant assumes responsibility for remitting such tax due directly to the Iowa Department of Revenue.

Please Select One

Start Service Date

Do you own or rent the property?

Own

Rent

Property owner's name

Property owner's phone number

Do you wish to participate in Operation Round Up?

Yes

By enrolling in Operation Round Up® your electric bill is “rounded up” each month to the nearest whole dollar amount with the extra change going into a separate Operation Round Up® fund. For example, if your bill is $87.56, you will actually be billed an even $88.00 and the extra $0.44 goes toward helping various goodwill causes in your community.